KAP is typically structured across three phases: preparation, dosing, and integration. Each step is essential and contributes to the effectiveness of the experience.
Preparation Phase
Before any ketamine is administered, clients engage in several sessions with a trained therapist. These sessions:
- Clarify emotional goals and areas of focus
- Build rapport and emotional safety with the therapist
- Educate clients on what to expect during ketamine experiences
- Review any medical concerns with the prescribing doctor
- Set intentions and address fears or resistance
This groundwork helps reduce anxiety and creates a safe psychological container for the altered state experience.
Dosing Sessions
In the core sessions, ketamine is administered under controlled, supervised conditions. Methods include sublingual lozenges, intramuscular (IM) injections, intravenous (IV) infusions, or nasal spray. The dose is carefully calibrated to induce a dissociative, introspective, or psychedelic state, depending on therapeutic goals.
Clients are typically in a calm, dimly lit room, wearing an eye mask and listening to music. The therapist may remain quietly present or offer verbal support if needed, but the emphasis is on the client’s internal experience. Many report vivid imagery, emotional breakthroughs, or a sense of observing life with new clarity.
Integration Phase
After the ketamine session, clients meet with their therapist to process and reflect. Integration sessions help:
- Make sense of emotional or symbolic experiences
- Apply insights to real-life relationships, habits, or patterns
- Build coping tools based on what was uncovered
- Create long-term meaning from each session
Integration is arguably the most important phase — it’s where new awareness becomes transformation. Without it, the experience can feel disconnected or even overwhelming.